DIAGNOSIS AND TREATMENT
Newly diagnosed metastatic breast carcinoma with bone and bone marrow metastases. The diagnosis of metastatic disease was on 10-16-09, when she was admitted to Memorial Hospital with progressive bone pain secondary to compression vertebral fracture. The tumor was estrogen receptor positive, HER-2/neu by FISH. Status post single fraction of 8 Gy of radiotherapy to the lumbar spine on 10/23/09. Treatment was initiated with paclitaxel weekly on 11/12/09, the patient had two right breast biopsies, one consistent with invasive ductal carcinoma and the other one with invasive lobular carcinoma with the largest tumor measuring 1.5 cm.
Lower back discomfort secondary to bone metastases.
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